John, 62, presents to his GP with a six-month history of progressive tingling and numbness in both feet.
He describes a “burning sensation” in the soles, particularly at night, which is beginning to disturb his sleep. He also reports increasing unsteadiness when walking, especially in the dark.
He has a past medical history of type 2 diabetes mellitus, hypertension, and dyslipidaemia. His medications include metformin, gliclazide, ramipril, and atorvastatin.
